WildLife Group
of the SAVA
RhODIS Sample Submission Form A (Rhinoceros animal sample collection)
Live / Hunt / Poach RhODIS number
CAS Number (Poaching)
Animal Information
Animal ID / Name
Ear Tag Number
Date Collected
Police Station: CAS
Microchip nr 1
(Body)
Placement
Subadult
Placement
Microchip nr 2 (Body)
Age
Old
Adult
Juvenile Calf
Sex
Male
Female
Species
White
Black
Horn Information (If horns are removed – please complete a separate horn form for each horn
and follow the instructions provided on that form for handling each horn)
Front Horn
Microchip Number
Placement
Sample collected
Circumference (cm)
Length front (cm)
Length Back (cm)
Back Horn
Microchip Number
Placement
Sample collected
Circumference (cm)
Length front (cm)
Length Back (cm)
Sample Information
Type
Number of each sample type
Ear Notch
Blood
EDTA
Serum
Heparin
Left
Right ear
ear
Toenail
Other
Tissue
Horn
Tail Hair
Outer Bag number Kit
Outer Bag seal intact
Hunted
Poaching case
Inner Bag number Kit
Permit number
Owner Information
Owner
12
Farm
Live rhino
Dehorned
Tel number
Cell number
Email address